Can You Contract STDs from Hand-Only Sexual Activities? - Urology

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Sexually transmitted infections (STIs)


Hello, if I received a massage from someone at a massage parlor and later ejaculated with her hand, without any contact with her genitalia and without kissing, only touching her breasts, is it possible to contract a sexually transmitted infection (STI)? I checked online, and it seems to be considered a safe sexual practice.
Should I be concerned? Thank you.

Xiao Liu, 40~49 year old female. Ask Date: 2020/08/17

Dr. Du Shixi reply Urology


Hello: There is no risk of transmitting other sexually transmitted infections without fluid contact; there is a very minimal chance for genital warts.
Wishing you good health.

Reply Date: 2020/08/17

More Info


When it comes to the risk of contracting sexually transmitted diseases (STDs) from hand-only sexual activities, the general consensus in the medical community is that the risk is relatively low, especially when there is no direct contact with genitalia or bodily fluids. However, it is essential to understand the nuances involved in such interactions.

In your scenario, where there is no direct genital contact, kissing, or exchange of bodily fluids, the likelihood of contracting STDs is minimal. STDs are primarily transmitted through direct contact with infected bodily fluids such as semen, vaginal secretions, blood, and in some cases, saliva. However, the transmission of STDs through saliva is exceedingly rare and typically requires the presence of open wounds or sores in the mouth or on the skin.

1. Hand-Only Activities: If the only actions involved were hand stimulation and touching the breasts without any exchange of bodily fluids, the risk of STD transmission is very low. The skin acts as a barrier, and unless there are cuts or abrasions on the hands or the areas being touched, the chances of infection are significantly reduced.

2. Potential Risks: While the risk is low, it is not entirely absent. If either party has an STD, and there are open wounds or cuts on the hands or the areas being touched, there is a potential risk for transmission. For example, if the person providing the hand stimulation has an infection such as herpes and there are open sores, there could be a risk if those sores come into contact with broken skin.

3. Precautions: To further reduce any potential risk, practicing good hygiene is essential. Washing hands thoroughly before and after any sexual activity can help minimize the risk of transmitting infections. Additionally, using barriers such as gloves during hand stimulation can provide an extra layer of protection.

4. Understanding STDs: It's important to note that not all STDs are transmitted in the same way. For instance, HIV is primarily transmitted through blood, semen, vaginal fluids, and breast milk. Other infections, like herpes or HPV, can be transmitted through skin-to-skin contact. Therefore, understanding the specific transmission routes of different STDs can help in assessing risk levels.

5. Testing and Awareness: If there is any concern about potential exposure to STDs, it is advisable to get tested. Many STDs can be asymptomatic, meaning individuals may not show any signs of infection but can still transmit the disease to others. Regular testing is a responsible practice, especially if engaging in sexual activities with new partners.

In conclusion, while the risk of contracting STDs from hand-only sexual activities is low, it is not zero. Maintaining good hygiene, being aware of the health status of partners, and getting regular STD screenings are all important steps in ensuring sexual health. If you have any lingering concerns or symptoms, consulting a healthcare professional for personalized advice and testing is always a prudent choice.

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